Amelia Mary Fosler

Individual provider Active NPI Clinical Social Worker · Gorham, ME

NPI 1033067657 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1033067657
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
MC19050 (ME)
Practice address
9 Kathryn St
Gorham, ME 04038-2224
Phone
(207) 749-9233
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MC19050MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X MC19050 ME Yes

Addresses

Primary practice location

9 Kathryn St
Gorham, ME 04038-2224

Mailing address

9 Kathryn St
Gorham, ME 04038-2224
Phone (207) 749-9233

Other providers in Gorham, ME

All providers in Gorham, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.